16 results
Summary of Coagulation Deficiencies
Inherited:
 • Hemophilia A - Deficiency of Factor VIII
 • Hemophilia B -
Hemophilia A - Deficiency ... Hemophilia B - Deficiency ... of Factor IX Acquired ... Acute DIC - Septic shock ... Deficiencies #Summary #table
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... Common Causes of Shock ... HEMORRHAGIC SHOCK ... • Consider intraaortic ... #Shock #Management
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
performed) • Clinical ... Cardiovascular MRI Clinical ... Abnormal ECG, echocardiogram ... • Cardiogenic shock ... cardiac death Management
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
on scores and clinical ... Hemodynamics (Stable ... Transient Hypotension, Shock ... prognostication #diagnosis #management
UNDIFFERENTIATED SHOCK

1. Echo is a powerful differentiator 
2. Echo ALL shock patients!
Sam Ghali @EM_RESUS
#Clinical #POCUS #Echocardiogram
UNDIFFERENTIATED SHOCK ... Echo ALL shock patients ... Ghali @EM_RESUS #Clinical ... #POCUS #Echocardiogram ... #Differential #Table
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook

Clinical Presentation + Progression:
Diagnosis and Management ... GrepMed Handbook Clinical ... Toxic Megacolon, Shock ... can be community-acquired ... Ileus, Megacolon, Shock
Hemophagocytic Lymphohistiocytosis (HLH)
Pathophysiology: Triggering factor (infection,...)→Activation of CD8 T cells (IFN-y) → Excessive activation of macrophages
accumulation of clinical ... Assessment • Clinical ... Purtilo (XLP) Acquired ... Cellular immune deficiency ... Lymphohistiocytosis #diagnosis #management
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
organ damage Clinical ... dysfunction (16%) • Shock ... thrombopoietin deficiency ... causes #treatment #management
Scurvy (Vitamin C Deficiency) - Diagnosis and Management

Vitamin C is required for hydroxylation of proline residues
Scurvy (Vitamin C Deficiency ... Diagnosis and Management ... Vitamin C is required ... poor nutrition Clinical ... : • Vitamin C deficiency
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Clinical • Under-recognized ... Pts: cardiogenic shock ... Management during ... Delivery • Stable ... support for patients clinically